Individual
DR. HARIKA RAO MENDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1780 OLD HIGHWAY 50 E STE 102, UNION, MO 63084-3397
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2020035764
MO
1223G0001X
General Practice Dentistry
DS042234
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400090529
—
MO
Enumeration date
06/18/2019
Last updated
09/12/2022
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